New evidence from opioid deaths involving prescribed bupe and methadone in Washington, D.C. predictably belie the lethal medical fabrications

by Clark Miller

Published December 15, 2021

In a recent post, we established that claims by American Medicine in the nation’s top medical research journal lied by distorted presentation and misinterpretation of results about the extent to which American Medicine’s cure for the opioid crisis – buprenorphine, methadone and medication assisted treatment (MAT) – are in fact diverted, abused, misused and involved as currency and consumable in American Medicine’s increasingly lethal opioid crisis.

The overtly deceptive report published in JAMA looked at data through 2019 and relied on self-report of substance users. Results and conclusions were established to be invalidated by each of multiple, gross distortions independently.

It may not require noting that manufactured lies about meaning and outcomes of research related to America’s lethal substance use epidemics, dutifully messaged by compliant mass media, contribute to the worsening of those epidemics.

New data from the Washington, DC Office of the Chief Medical Examiner for additional years of 2020 and (projected) 2021 – buried and linked to in this piece –  add to the exposure of the JAMA research article as lethal deception of an increasingly vulnerable public in time of lethal crisis.

From the piece in the dcist –


In 2020, fatal opioid overdoses in the D.C. area surged dramatically — in some cases, to the highest levels ever recorded.

Based on the most recently available data, 2021 is set to be an even deadlier year for much of the region — a trend that experts attribute to a myriad of factors, including pandemic-induced isolation, the omnipresence of the powerful synthetic opioid fentanyl, and a lack of addiction support resources.

The DC Office of the Chief Medical Examiner (OCME) investigated a total of 17071 deaths due to the use of opioids from January 1, 2016 through August 31, 2021. This report examines the presence of opioids (heroin, fentanyl, fentanyl analogs, morphine, prescription opioids and the general category of opiates) in deaths observed at the OCME.

The two primary opioids forming American Medicine’s cure for American Medicine’s opioid crisis – Buprenorphine and Methadone – became comparable to or significantly more involved in lethal overdoses in 2020 and projecting for 2021 will far surpass lethal involvement of all other prescribed opioids recorded in DC. The clear trend is increase over the years 2018 to 2021 (remember that the values for 2021 in Figure 4 are for January through August only) for the two MAT opioids.

Here are the projected levels for methadone and buprenorphine involved deaths based on 4 remaining months in the year 2021 – those projected levels almost certainly underestimates of the involvement of MAT opioids in potentially lethal ODs because of the increasingly moderating effects of naloxone campaigns and naloxone saves over these periods. 

overdose death graphic

These are the predictable results from continued, increasing and less restrictive provision by American Medicine of the prescribed opioids established as fueling America’s increasingly lethal opioid epidemic.

Why A Critical Discourse?

Because an uncontrolled epidemic of desperate and deadly use of pain-numbing opioid drugs is just the most visible of America’s lethal crises of drug misuse, suicide, depression, of obesity and sickness, of social illness. Because the matrix of health experts and institutions constructed and identified by mass media as trusted authorities – publicly funded and entrusted to protect public health – instead collude to fabricate false assurances like those that created an opioid crisis, while promising medical cures that never come and can never come, while epidemics worsen. Because the “journalists” responsible for protecting public well-being have failed to fight for truth, traded that duty away for their careers, their abdication and cowardice rewarded daily in corporate news offices, attempts to expose that failure and their fabrications punished.

Open, critical examination, exposure, and deconstruction of their lethal matrix of fabrications is a matter of survival, is cure for mass illness and crisis, demands of us a critical discourse.

Crisis is a necessary condition for a questioning of doxa, but is not in itself a sufficient condition for the production of a critical discourse.

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